The final guidance for the 2028 cycle of the Medicare drug price negotiation reflects CMS’s continued effort to balance ...
CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...
The RADV program is a tool CMS uses to identify and recover overpayments to MA. Only a few months ago, CMS touted its commitment to beefing up this program, leveraging the 2023 final rule. Through ...
WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) announced a new oversight initiative aimed at ensuring that enrollees in Medicaid and the Children’s Health Insurance Program ...
A constant refrain from the Trump administration about rooting out fraud, waste and abuse isn’t just about budget cuts. For nursing homes, it may signal increasing audit risk and a rise in burdensome ...
The Government Accountability Office has issued a report recommending CMS more clearly communicate its goals for the Medicare Integrity Program and improve the reliability of data used to calculate ...
Medicare Advantage must be stabilized, a coalition of agent groups said, as Humana becomes the latest carrier to cut agent commissions.
(The Center Square) – Minnesota is seeking assistance from the Centers for Medicare and Medicaid Services to end its Housing Stabilization Services program, citing “large-scale fraud” as the reason ...
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